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Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature

BACKGROUND: Mesenteric lymphangioma (ML) in adults is a very rare disease. We report six hospitalized adult patients with ML in our hospital between January 2013 and July 2018 to investigate the characteristics and prognosis of ML in adults. CASE SUMMARY: The male-to-female ratio was 3:3, and the me...

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Autores principales: Chen, Jie, Du, Lin, Wang, Dao-Rong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304307/
https://www.ncbi.nlm.nih.gov/pubmed/30595806
http://dx.doi.org/10.4251/wjgo.v10.i12.522
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author Chen, Jie
Du, Lin
Wang, Dao-Rong
author_facet Chen, Jie
Du, Lin
Wang, Dao-Rong
author_sort Chen, Jie
collection PubMed
description BACKGROUND: Mesenteric lymphangioma (ML) in adults is a very rare disease. We report six hospitalized adult patients with ML in our hospital between January 2013 and July 2018 to investigate the characteristics and prognosis of ML in adults. CASE SUMMARY: The male-to-female ratio was 3:3, and the median age at diagnosis was 55.2 years. Clinical manifestations varied; however, most were acute cases (5/6). No history of trauma was reported. None (0/6) of the patients were accurately diagnosed with ML in the emergency and outpatient departments. Mesenteric cysts were identified in four patients (66.7%) by abdominal ultrasound and in five patients (83.3%) by computed tomography. ML was postoperatively confirmed by pathology. Most MLs (4/6) were associated with infection of other systems. ML was located in the mesentery of the small intestine (n = 4), ileum (n = 1) and rectum (n = 1). Cyst fluid was clear (n = 4), chylous (n = 1) and bloody (n = 1). Surgical procedures included complete tumor removal and partial intestinal excision (n = 6). Recurrence and adhesive intestinal obstruction were not observed during the 3-12 mo follow-up period. CONCLUSION: ML in adults is a rare benign acquired disease that can be cured by surgical treatment. Infection may be a cause of ML.
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spelling pubmed-63043072018-12-28 Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature Chen, Jie Du, Lin Wang, Dao-Rong World J Gastrointest Oncol Case Report BACKGROUND: Mesenteric lymphangioma (ML) in adults is a very rare disease. We report six hospitalized adult patients with ML in our hospital between January 2013 and July 2018 to investigate the characteristics and prognosis of ML in adults. CASE SUMMARY: The male-to-female ratio was 3:3, and the median age at diagnosis was 55.2 years. Clinical manifestations varied; however, most were acute cases (5/6). No history of trauma was reported. None (0/6) of the patients were accurately diagnosed with ML in the emergency and outpatient departments. Mesenteric cysts were identified in four patients (66.7%) by abdominal ultrasound and in five patients (83.3%) by computed tomography. ML was postoperatively confirmed by pathology. Most MLs (4/6) were associated with infection of other systems. ML was located in the mesentery of the small intestine (n = 4), ileum (n = 1) and rectum (n = 1). Cyst fluid was clear (n = 4), chylous (n = 1) and bloody (n = 1). Surgical procedures included complete tumor removal and partial intestinal excision (n = 6). Recurrence and adhesive intestinal obstruction were not observed during the 3-12 mo follow-up period. CONCLUSION: ML in adults is a rare benign acquired disease that can be cured by surgical treatment. Infection may be a cause of ML. Baishideng Publishing Group Inc 2018-12-15 2018-12-15 /pmc/articles/PMC6304307/ /pubmed/30595806 http://dx.doi.org/10.4251/wjgo.v10.i12.522 Text en ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Chen, Jie
Du, Lin
Wang, Dao-Rong
Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature
title Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature
title_full Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature
title_fullStr Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature
title_full_unstemmed Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature
title_short Experience in the diagnosis and treatment of mesenteric lymphangioma in adults: A case report and review of literature
title_sort experience in the diagnosis and treatment of mesenteric lymphangioma in adults: a case report and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304307/
https://www.ncbi.nlm.nih.gov/pubmed/30595806
http://dx.doi.org/10.4251/wjgo.v10.i12.522
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